J Korean Acad Community Health Nurs.  2011 Mar;22(1):45-55. 10.12799/jkachn.2011.22.1.45.

The Correlates of Influenza Vaccination among Korean Elderly Men and Women

• Kang HS
• Lee H
• Kim MW

• KMID: 2292864
• DOI: http://doi.org/10.12799/jkachn.2011.22.1.45

Abstract

PURPOSE
This study aimed to investigate the rate of and factors associated with influenza vaccination in Korean elderly people.
METHODS
For this retrospective cross-sectional study, we used data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2008. A total of 1,516 men and women aged 65 or above were included. The data were analyzed using descriptive statistics and logistic regression.
RESULTS
The overall rate of influenza vaccination in 2008 was 73.6%. The vaccination rate was lower in women (73.2%) than in men (74.2%; p<.001). It was lower in the elderly aged 80 and above, those living in metropolitan areas, smokers, those who did not receive regular health screening, those who had no history of hospitalization within one year, and those who had liver diseases than in the other groups. The rate of vaccination was higher in those with cancer. Logistic regression analysis revealed that for both men and women, the significant correlates associated with vaccination were demographic factors, chronic disease and health behavior.
CONCLUSION
The influenza vaccination coverage needs to be improved. Efforts should be made to reach the elderly population with relatively low influenza vaccination rates and to increase awareness about the importance of vaccination at a personal and community level.

Keyword

Elderly; Influenza; Vaccination

MeSH Terms

Aged*
Chronic Disease
Cross-Sectional Studies
Demography
Female
Health Behavior
Hospitalization
Humans
Influenza, Human*
Liver Diseases
Logistic Models
Male
Mass Screening
Nutrition Surveys
Retrospective Studies
Vaccination*

Reference

1. Baxter R, Ray GT, Fireman BH. Effect of influenza vaccination on hospitalizations in persons aged 50 years and older. Vaccine. 2010; 28(45):7267–7272.

2. Chun B, Kim W, Cheong H, Sohn J, Kim E, Kim M, et al. Efficacy of influenza vaccination among elderly in a community-2 year study result. In : Poster Session Presented at the Annual Meeting of the Korea Society for Preventive Medicine for Scholarly Publishing; Seoul. 2000.

3. Evans MR, Watson PA. Why do older people not get immunized against influenza? A community survey. Vaccine. 2003; 21:2421–2427.

4. Fiore AE, Uyeki TM, Broder K, Finelli L, Euler GL, Singleton JA, et al. Prevention and control of influenza with vaccines: Recommendations of the advisory committee on immunization practices (ACIP), 2010. MMWR Recomm Rep. 2010; 59(RR-8):1–62.

5. Groenwold RH, Hoes AW, Hak E. Impact of influenza vaccination on mortality risk among the elderly. Eur Respir J. 2009; 34(1):56–62.

6. Jiménez-García R, Hernández-Barrera V, de Andres AL, Jimenez-Trujillo I, Esteban-Hernández J, Carrasco-Garrido P. Gender influence in influenza vaccine uptake in Spain: Time trends analysis (1995~2006). Vaccine. 2010; 28(38):6169–6175.

7. Jung JY, Jung SY, Gwak HS. Prevalence and determinants of influenza vaccination in Koreans. Korean J Clin Pharm. 2005; 15:89–93.

8. Kang EH, Choi KE, Lee SH. Effects of influenza vaccination on respiratory diseases. Korean J Clin Pharm. 2003; 13(1):5–12.

9. Kee SY. Influenza vaccine coverage rates and perceptions on vaccination in Korea. Seoul: Korea University;2005. Unpublished master's thesis.

10. Kim HJ. Research on elderly's socioeconomic status and health-focused on the senior welfare center located in Chungju area. Seoul: Korea University;2010. Unpublished master's thesis.

11. Kim MH. Analysis of factor of relationship between senior citizens' health promotion behavior and chronic disease. Daegu: Daegu Haany University;2010. Unpublished master's thesis.

12. Kim SJ. A study on health conditions and medical needs of the aged in rural areas. Iksan: Wonkwang University;2007. Unpublished master's thesis.

13. Kim WJ. Vaccination in elderly people. Korean J Med. 2010; 76:Suppl 2. S310–S316.

14. Ko SY. Awareness on health management and its influential factors for senior citizens in Jeju region. Seoul: Chung-Ang University;2006. Unpublished master's thesis.

15. Korea Institute for Health and Social Affairs. A study of 2004 living profiles and welfare service needs of older persons in Korea Survey. Seoul: Ministry of Health and Social Welfare;2005.

16. Kwong EW, Lam IO, Chan TM. What factors affect influenza vaccine uptake among community-dwelling older Chinese people in Hong Kong generaloutpatient clinics? J Clin Nurs. 2009; 18(7):960–971.

17. Lau L, Lau Y, Lau YH. Prevalence and correlates of influenza vaccination among non-institutionalized elderly people: An exploratory cross-sectional survey. Int J Nurs Stud. 2009; 46(6):768–777.

18. Lawson F, Baker V, Au D, McElhaney JE. Standing orders for influenza vaccination increased vaccination rates in inpatient settings compared with community rates. J Gerontol A Biol Sci Med Sci. 2000; 55(9):M522–M526.

19. Lee KH. A study of social welfare service given to farm old people. Wonju: Sangji University;2007. Unpublished master's thesis.

20. Lee MS, Chun BC, Kim EY. Health behavior related with influenza vaccination among the elderly. Korean Public Health Res. 2000; 26(3):325–339.

21. Lim JW, Eom CS, Kim KH, Kim S, Cho B. Coverage of influenza vaccination among elderly in South Korea: A population based cross sectional analysis of the season 2004~2005. J Korean Geriatr Soc. 2009; 13(4):215–221.

22. Linn ST, Guralnik JM, Patel KV. Disparities in influenza vaccine coverage in the United States, 2008. J Am Geriatr Soc. 2010; 58(7):1333–1340.

23. Mereckiene J, Cotter S, D'Ancona F, Giambi C, Nicoll A, Levy-Bruhl D, et al. Differences in national influenza vaccination policies across the European Union, Norway and Iceland 2008~2009. Euro Surveill. 2010; 15(44):pii: 19700.

24. Mok E, Yeung SH, Chan MF. Prevalence of influenza vaccination and correlates of intention to be vaccinated among Hong Kong Chinese. Public Health Nurs. 2006; 23(6):506–515.

25. Monto AS, Ansaldi F, Aspinall R, McElhaney JE, Montaño LF, Nichol K, et al. Influenza control in the 21st century: Optimizing protection of older adults. Vaccine. 2009; 27(37):5043–5053.

26. Nitsch-Osuch A, Wardyn K. Influenza vaccine coverage in age-related risk groups in Poland, 2004~2007. Cent Eur J Public Health. 2009; 17(4):198–202.

27. Park YH, Kim BK, Jang WK, Choi BG, Lim SM, Kim EJ. A study on the supply and demand of influenza vaccine in Korea. J Soonchunhyang Med Sci. 2009; 15(2):35–44.

28. Peña-Rey I, Pérez-Farinós N, Sarría-Santamera A. Factors associated with influenza vaccination among elderly Spanish women. Public Health. 2004; 118(8):582–587.

29. Yoon YJ. Factors influencing elder's preventive behavior for influenza A (H1N1). Chuncheon: Kangwon National University;2010. Unpublished master's thesis.

30. Zimmerman RK, Raymund M, Janosky JE, Norwalk MP, Fine MJ. Sensitivity and specificity of patient self-report of influenza and pneumococcal polyaxxharide vaccinations among elderly outpatients in diverse patient care strata. Vaccine. 2003; 21:1510–1517.